How Do Lay Health Workers Engage Caregivers? A Qualitative Study to Enhance Equity in Evidence-Based Parenting Programs

La vergüenza [the shame]: Measuring affiliate stigma associated with youth mental health problems among Latinx caregivers.

“…Externalizing problems were especially related to affiliated stigma, which may represent Latinx caregivers' cultural values and expectations regarding youths' compliance and respect toward elders. Public service campaigns and/or community outreach efforts such as utilizing promotoras de salud could disseminate psychoeducational interventions that may increase willingness to seek formal youth MHS among Latinxs caregivers by addressing stigma associated with caring for a child with emotional and/or behavioral problems (Barnett et al, 2021).…”

Effective training practices for non-specialist providers to promote high-quality mental health intervention delivery: A narrative review with four case studies from Kenya, Ethiopia, and the United States

“…On the other hand, lay health workers often have shared lived experiences, including having similar clinical diagnoses or family experiences (e.g., peer providers and parent partners) or being from the same community with similar cultural backgrounds (e.g., community health workers and promotoras de salud) as the populations being served (Gustafson et al, 2018 ; Jack et al, 2020 ). These experiences can increase their expertise in strategies on how to engage individuals in care, including building trust through their shared identities and experiences (Gustafson et al, 2018 ; Barnett et al, 2021 ). However, the literature suggests that these shared experiences can also make it challenging for peer providers to maintain boundaries, and therefore it is important to address how the providers balance their past experiences with their new responsibilities (Satinsky et al, 2021 ).…”

Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth

“…Partnering with community members with expertise in navigating cultural norms and health care access, such as community health workers (CHWs), is one promising strategy to work with families of LGBTQ youth. CHWs have been identified as an important workforce to enhance service equity for communities of color (Barnett et al, 2018b ), and specifically engage caregivers in mental health services (Barnett et al, 2021a ). In general, CHWs are individuals from the communities they serve without formal mental health training, who aim to enhance access to care.…”

“…In general, CHWs are individuals from the communities they serve without formal mental health training, who aim to enhance access to care. CHWs include volunteer networks, such as promotoras de salud , who typically work with the Latinx community, and hired CHWs who work within healthcare systems (Barnett et al, 2021a ). CHWs frequently work with caregivers (e.g., biological, adoptive, or foster parents; grandparents) to enhance access and engagement in care by addressing logistical barriers, stigma, and enhancing the cultural fit of services (Broder-Fingert et al, 2020 ; Chakawa, 2022 ; Davis et al, 2022 ).…”

“…Yet, to date, limited research has identified the roles CHWs may have in working with LGBTQ youth and their caregivers. Social proximity, or having similar cultural and personal backgrounds as the individuals they serve, has been identified as a primary strategy that make CHWs especially adept at helping patients overcome distrust of health systems (Barnett et al, 2021a ; Gustafson et al, 2018 ). However, when thinking of who should be the CHWs serving the families of LGBTQ youth it is important to identify what intersecting traits may be most important for the providers related to culture, gender identity, and sexual orientation.…”